| NPI | 1649736547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL a62042097851) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2019-02-15 |